Gold, golden identity
Tyler Rojas
2 source records from 1 feed.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
Identity graph
Source records linked to this identity and the confidence of each link
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link
Linked source records
Silver values for each record in the cluster, and how it was attached
| Record | Source | Received | Name | DOB | Member ID | Phone | Address | Method | Confidence | Rule |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-411428 | CLM | 2026-07-25 | Tyler Rojasflagged | 1966-04-24 | — | — | 2978 Baseline Rd, Mesa, AZ | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-411427 | CLM | 2026-08-21 | Tyler Rojasflagged | 1966-04-24 | — | — | 2978 Baseline Rd, Mesa, AZ | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411428 CLMCLM-411427 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:55Record linked automatically82a38048f1matching_agent, CLM-411427, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411428
- 2026-10-22 12:43:55Record linked automatically17567b1f0ematching_agent, CLM-411428, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411427
- 2026-10-19 19:54:39Record linked automatically5cd6c42841matching_agent, CLM-411427, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411428
- 2026-10-19 19:54:39Record linked automaticallya8bf32dd82matching_agent, CLM-411428, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411427
- 2026-10-19 19:52:09Record linked automatically91287720cbmatching_agent, CLM-411427, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411428
- 2026-10-19 19:52:09Record linked automatically16086aa606matching_agent, CLM-411428, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411427
- 2026-10-19 19:45:42Record linked automatically6deda450f0matching_agent, CLM-411427, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411428
- 2026-10-19 19:45:42Record linked automatically7f9ce014ecmatching_agent, CLM-411428, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411427
- 2026-10-19 19:32:31Record linked automaticallyd8f5e6508ematching_agent, CLM-411427, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411428
- 2026-10-19 19:32:31Record linked automaticallyd6043abbaamatching_agent, CLM-411428, identity id MBR-039562, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411427
- 2026-10-19 19:31:28Record linked automatically2189da6c74scoring_agent, CLM-411428, identity id MBR-040910, confidence 1, method probabilistic, matched record TPA-55068, policy version 1
- 2026-10-19 19:31:28Record linked automatically15d43c2ac4scoring_agent, CLM-411427, identity id MBR-000661, confidence 0.99, method probabilistic, matched record TPA-55067, policy version 1
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-025308 | 2026-08-09 | Riverside Regional Medical Center out of network | 99285, 96374 | $2,707.00 | $1,068.15 | Approved | Approved |
| CLM-2026-013490 | 2026-07-10 | Mesa Internal Medicine Associates in network | 99232 | $190.00 | $0.00 | Approved | Approved |